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Interview your patient, review their symptoms & history.
Master patient cases, drug therapy decisions, and clinical reasoning in a safe, interactive environment before stepping onto rotations.

Pharmacy school teaches you the pharmacology. It rarely teaches you the pressure — the ambiguous chart, the anxious patient, the interaction you almost missed. APPE rotations are where that gap gets exposed.
Paper cases are single-threaded multiple choice. If you choose the wrong initial medication, you never see how the patient fails or experience the downstream renal injury.
Receiving a graded paper case weeks after submission does not reinforce clinical judgment. On rotations, missing a critical safety error means hurting an actual patient.
Rotations are high-stakes. The constant pressure of live patient charts often turns learning by doing into an anxious, passive observation exercise.
RxSim puts you in front of an AI patient with a real chart, real symptoms, and a real personality. You take the history, build the regimen, and get graded like an expert clinical pharmacist is standing over your shoulder.
Interview your patient, review their symptoms & history.
Inspect lab data, vital signs, and organ function.
Select specific drugs, doses, and schedules from the database.
Receive immediate rubric-based grading on clinical choices.
Get quizzed on exactly what you missed to cement learning.
No multiple choice, no training wheels. Real clinical pharmacy simulations designed for long-term retention.
Every case has its own persona — anxious, guarded, chatty — so you learn to ask the right questions, not just read the right chart.
Search real medications using the same NIH drug database pharmacists use. No multiple choice. No guessing.
Your regimen is evaluated for guideline adherence, drug interactions, and renal/hepatic dosing — the details that actually matter.
Miss a critical interaction? RxSim generates a quiz on exactly that gap — so the lesson sticks.
Track your verdicts over time — Optimal, Suboptimal, Inappropriate — and earn bonus points for leveling up your own performance.
Join a community forum built for clinical pearls, case debriefs, and pharmacy school survival tips.
RxSim was designed by pharmacists who remember exactly how it feels to walk into rotations underprepared. Every case, every evaluation rubric, and every quiz question is built to mirror the judgment calls you'll actually make in practice.

Walk into your next rotation with the clinical muscle memory of an experienced pharmacist.
Start with free cases across core specialties, or unlock the full Beginner-to-Advanced library with Premium.
Chat to gather history, review the chart, and flag abnormal laboratory values.
Select real drugs, doses, and frequencies from the NIH drug reference library.
Receive expert-level feedback, rubrics, and custom-generated quizzes targeted to your gaps.
“RxSim gave me the exact clinical confidence booster I needed before my ambulatory care APPE rotation. Instead of memorizing static guidelines, I actually learned how to apply them to patients who didn't fit the textbook profile. I wish I had this before starting APPEs!”
Give your students a safe, repeatable way to practice clinical judgment outside the classroom — with built-in feedback so you don't have to grade every case yourself.
Explore school partnershipsSync simulator grades, completion status, and custom quiz outcomes with Canvas or Blackboard.
Track common therapeutic pitfalls across your class cohort to adjust lecture topics.
Draft custom patient files, comorbidities, lab profiles, and grading criteria matching your curriculum.
Practice real cases at no cost, unlock the full library and personalized tools with Premium, or bring RxSim to your whole program.
Get a feel for real clinical reasoning with a starter set of cases.
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Everything in Free, plus the complete library and the tools that close your gaps.
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LMS-integrated clinical software tailored to your program, with a white-label portal.
White-label options & student organization discounts
Request bulk cohort pricing, a white-labeled university configuration, or custom clinical cases tailored to your therapeutic courses.
Every case you complete is one less surprise on the floor. Start practicing free today, and upgrade when you want the full library.
Free forever · No credit card required · Built for pharmacy students, by pharmacists.